Effect of Psychoeducation Intervention on Self-efficacy and Coping of Adolescent Thalassemic Survivors in Indonesia

Thalassemia is a chronic illness with having serious psychological challenges for adolescent thalassemic survivors. Many experienced problematic issues with their self-efficacy and coping as impacts of the disease and its treatments. Although thalassemia is a major health problem in Indonesia that challenges health care professionals to improve adolescent thalassemic survivors' quality of life, no studies have been undertaken to improve self-efficacy and coping of those adolescents with thalassemia by using psycho-education. This research aim was to examine the effect of psycho-education on self-efficacy and coping of adolescents with thalassemia. The study was conducted in two hospitals in Garut, Indonesia. The research method used was quasi-experiment with the pre-post test without the control group. The participants were thalassemic adolescent survivors aged 12-18 years old with 48 determined by total sampling technique. All participants received the psycho-education intervention with lecturing and booklet. Participants' self-efficacy was measured with the Chronic Disease Self-Efficacy Scales (CDSES), and their coping was measured with the Ways of Coping (WOC) Scale. The collected data were analized by using the Shapiro-Wilks to test for normality and the Wilcoxon test. The results showed there was meaningful difference with self-efficacy before and after intervention (p<0,001), and meaningful difference on adolescent thalassemic survivors’coping before and after intervention (p=0,004). It can be concluded that there was a significant effect of psycho-education on self-efficacy and coping of those adolescent thalassemic survivors. Therefore, it is recommended that the psycho-education intervention can be used as one of nursing intervention for enhancing self-efficacy and coping of adolescents with major thalassemia.